Kristin Deanna Pantea, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

80599 Issued in NM

Practice address

1316 Jackie Rd SE Ste 400
Rio Rancho, NM 87124-1045

Phone

(505) 862-6523

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G and M Medical CenterGroup PAC ID 7012384852, 3 clinicians

G and M Medical Center LLCGroup PAC ID 8527323526, 2 clinicians

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G & M Medical Center

  dba G & M Urgent Care

  • Urgent Care Clinic/Center
  • Rio Rancho, NM
  • NPI 1144966136

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• G & M Medical Center LLC

  dba G & M Medical Center

  • Family Medicine Physician
  • Rio Rancho, NM
  • NPI 1821598830

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1376377424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51566",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871811566",
            "telephone_number": "505-249-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 400",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-862-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTEA",
        "first_name": "KRISTIN",
        "middle_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "80599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Pagano
• Haily Palacios
• Pilaiporn Palakawong NA Ayudhya, M.D.
• Mark Pallottino, BMS
• Mattia Panaccione
• Virginia Panter, CNM
• Jennifer Pantoja, CNP
• Thalia Papadakis, MS, MED, LPCC
• Paramount Healthcare Services LLC
• Benito J Pardieu

• Family Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.